超微针刀联合易罐法治疗脑卒中肩关节疼痛临床研究
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R743.3

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金华市科技计划项目(2021-4-086)


Clinical Study on Ultramicro Needle-Knife Combined with Yi-Cupping Therapy for Shoulder Joint Pain in Stroke
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    摘要:

    目的:观察超微针刀联合易罐法治疗脑卒中肩关节疼痛的临床效果。方法:将85 例脑卒中肩关节疼痛患者按治疗方案的不同分为对照组42 例和观察组43 例。2 组均采用脑血管疾病常规治疗方法,对照组加用针刺治疗,观察组采用超微针刀联合易罐法治疗,2 组均治疗2 个疗程,共4 周。治疗前、治疗4 周后评定Fugl-Meyer 运动功能评定量表评分、视觉模拟疼痛评分法(VAS) 评分、改良Barthel 指数(MBI) 评分及肩关节活动度评分。比较2 组的临床疗效。结果:治疗4 周后,观察组临床疗效总有效率高于对照组(P<0.05)。2 组Fugl-Meyer 评分、MBI 评分、肩关节活动度评分均较治疗前升高,VAS 评分均治疗前下降,差异均有统计学意义(P<0.01);观察组Fugl-Meyer 评分、MBI 评分、肩关节活动度评分均高于对照组,VAS 评分低于对照组,差异均有统计学意义(P<0.01)。结论:超微针刀联合易罐法治疗脑卒中肩关节疼痛患者疗效确切,可有效缓解肩关节疼痛,增加肩关节活动度,提高患者的运动功能及日常生活能力。

    Abstract:

    Abstract: Objective: To observe the clinical effect of ultramicro needle- knife combined with Yicupping therapy for shoulder joint pain in stroke. Methods: A total of 85 cases of stroke patients with shoulder joint pain were divided into the control group(42 cases) and the observation group(43 cases) according to their treatment. Both groups were given routine treatment methods for cerebrovascular disease; the control group was additionally treated with acupuncture, and the observation group was additionally treated with ultramicro needle- knife combined with Yi- cupping therapy. Both groups were treated for two courses,a total of 4 weeks. Before treatment and after four-week treatment,the scores of Fugl- Meyer Assessment, Visual Analogue Scale(VAS), Modified Barthel Index(MBI), and shoulder range of motion in the two groups were evaluated. The clinical effects in the two groups were compared. Results:After four-week treatment,the total effective rate of clinical effect in the observation group was higher than that in the control group(P<0.05). The scores of Fugl- Meyer, MBI and shoulder range of motion in the two groups were increased when compared with those before treatment, and the VAS scores were decreased, differences being significant(P<0.01); the scores of Fugl- Meyer, MBI and shoulder range of motion in the observation group were higher than those in the control group,and the VAS score was lower, differences being significant(P<0.01). Conclusion: Ultramicro needle- knife combined with Yi-cupping therapy has a definite curative effect for stroke patients with shoulder joint pain,which can effectively relieve shoulder joint pain,and improve shoulder range of motion,motor function and activities of daily living.

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陈健林.超微针刀联合易罐法治疗脑卒中肩关节疼痛临床研究[J].新中医,2022,54(18):128-132

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  • 在线发布日期: 2022-09-28
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